<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8">
<title>Insert title here</title>
</head>
<body>
	<form action="register" method="post">
		<input name="uname">Username<br/>
		<input name="sal">Salary<br/>
		<input type='radio' name='sex' value='m'  checked="checked">man
		<input type='radio' name='sex' value='wm'>women
		<span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Sex</span><br />
		<span >&nbsp;&nbsp;Year&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Month&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
			Day</span><br />
		<select id="form_dob_year" name="year">
 			<option value="2017"  selected = "selected" >2017</option>
    		<option value="2016">2016</option>
    		<option value="2015">2015</option>
    		<option value="2014">2014</option>
    		<option value="2013">2013</option>
    		<option value="2012">2012</option>
    		<option value="2011">2011</option>
    		<option value="2010">2010</option>
   			<option value="2009">2009</option>
  		    <option value="2008">2008</option>
  		    <option value="2007">2007</option>
    		<option value="2006">2006</option>
    		<option value="2005">2005</option>
    		<option value="2004">2004</option>
    		<option value="2003">2003</option>
    		<option value="2002">2002</option>
    		<option value="2001">2001</option>
   	 		<option value="2000">2000</option>
    		<option value="1999">1999</option>
    		<option value="1998">1998</option>
    		<option value="1997">1997</option>
    		<option value="1996">1996</option>
    		<option value="1995">1995</option>
    		<option value="1994">1994</option>
    		<option value="1993">1993</option>
    		<option value="1992">1992</option>
    		<option value="1991">1991</option>
    		<option value="1990">1990</option>
    		<option value="1989">1989</option>
    		<option value="1988">1988</option>
    		<option value="1987">1987</option>
    		<option value="1986">1986</option>
    		<option value="1985">1985</option>
    		<option value="1984">1984</option>
    		<option value="1983">1983</option>
    		<option value="1982">1982</option>
    		<option value="1981">1981</option>
    		<option value="1980">1980</option>
    		<option value="1979">1979</option>
    		<option value="1978">1978</option>
    		<option value="1977">1977</option>
    		<option value="1976">1976</option>
    		<option value="1975">1975</option>
   			<option value="1963">1963</option>	
   			<option value="1962">1962</option>
   			<option value="1961">1961</option>
    		<option value="1960">1960</option>
    		<option value="1959">1959</option>
		</select>
		<select id="form_dob_month" name="month">
    		<option value="-">-</option>
   			<option value="1">January</option>
  			<option value="2">Febuary</option>
   	 		<option value="3">March</option>
  		    <option value="4">April</option>
    		<option value="5">May</option>
    		<option value="6">June</option>
    		<option value="7" selected = "selected">July</option>
    		<option value="8">August</option>
   	 		<option value="9">September</option>
    		<option value="10">October</option>
    		<option value="11">November</option>
    		<option value="12">December</option>
		</select>
 		<select id="form_dob_day" name="day">
   			<option value="-">-</option>
    		<option value="1">1</option>
    		<option value="2">2</option>
    		<option value="3">3</option>
    		<option value="4">4</option>
    		<option value="5">5</option>
    		<option value="6">6</option>
    		<option value="7">7</option>
    		<option value="8">8</option>
    		<option value="9">9</option>
   		 	<option value="10">10</option>
   		 	<option value="11">11</option>
   		    <option value="12">12</option>
   		 	<option value="13">13</option>
   			<option value="14">14</option>
   		 	<option value="15">15</option>
   		 	<option value="16">16</option>
   			<option value="17">17</option>
    		<option value="18">18</option>
    		<option value="19">19</option>
    		<option value="20">20</option>
    		<option value="21">21</option>
    		<option value="22">22</option>
    		<option value="23">23</option>
    		<option value="24" selected = "selected">24</option>
    		<option value="25">25</option>
    		<option value="26">26</option>
    		<option value="27">27</option>
    		<option value="28">28</option>
    		<option value="29">29</option>
    		<option value="30">30</option>
    		<option value="31">31</option>
		</select>
		<br/>
		<input type="file" name="uhead"><br/>
		<input type="submit" value="register">
	</form>
</body>
</html>